Impact of facilitation on cognitive flow in a novel diabetes management rehearsal game for health professions education: mixed methods, open-label, superiority randomized controlled trial

Background: Though the prevalence of diabetes is set to increase, most serious game solutions typically target patient self-management and education. Few games target health care professions education, and even fewer consider the factors that may increase their efficacies. The impact of facilitation...

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Main Authors: Tan, Jun Wen, Tan, Gabriel, Lian, Xia, Chong, Darren Kai Siang, Rajalingam, Preman, Dalan, Rinkoo, Mogali, Sreenivasulu Reddy
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Article
Language:English
Published: 2024
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Online Access:https://hdl.handle.net/10356/180621
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Institution: Nanyang Technological University
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spelling sg-ntu-dr.10356-1806212024-10-20T15:39:23Z Impact of facilitation on cognitive flow in a novel diabetes management rehearsal game for health professions education: mixed methods, open-label, superiority randomized controlled trial Tan, Jun Wen Tan, Gabriel Lian, Xia Chong, Darren Kai Siang Rajalingam, Preman Dalan, Rinkoo Mogali, Sreenivasulu Reddy Lee Kong Chian School of Medicine (LKCMedicine) Tan Tock Seng Hospital Medicine, Health and Life Sciences Diabetes management Education Background: Though the prevalence of diabetes is set to increase, most serious game solutions typically target patient self-management and education. Few games target health care professions education, and even fewer consider the factors that may increase their efficacies. The impact of facilitation, a prominent feature of health professions education, is examined in the context of a rehearsal-based diabetes management serious game. Objective: In this mixed methods, open-label, superiority randomized controlled trial, we compare student performance, attitudes, and perceptions of a rehearsal-based diabetes management game for health care professionals. Methods: Student participants were randomized into 2 groups to play a diabetes management game. The control group played the game alone, and the intervention group played the same game alongside a facilitator tasked to moderate overall challenge levels and address queries. Both groups were administered the Flow Short Scale, a 13-item measure rated on a 7-point Likert scale ranging from 1 (“not at all”) to 7 (“very much”) immediately after the game. Students were then invited to voluntary focus group discussions to elicit their attitudes and perceptions of the game. Findings were subject to between-group comparisons and inductive thematic analysis respectively. Results: A total of 48 (26 control, 22 intervention) clinical-year undergraduates from the Lee Kong Chian School of Medicine in Singapore participated in this study, with 18 continuing to the focus group discussions. Flow Short Scale results indicated the superiority of the intervention group for overall flow (t46=–2.17, P=.04) and the absorption subdomain (t46=–2.6, P=.01). Qualitative results indicated students viewed facilitation as helpful and appropriate, and were able to identify improvable elements of the game’s theoretical foundations and overall design. Conclusions: While serious games are efficacious means of rehearsing previously learned knowledge, facilitation allows for their efficiency to be greatly increased. Such increases are likely crucial in the coming years with the increased digitization of health care professions education and the prevalence of diabetes. Published version This project was supported by the Games for Health Innovations Centre (ALIVE) Serious Games Grant. 2024-10-15T05:45:44Z 2024-10-15T05:45:44Z 2024 Journal Article Tan, J. W., Tan, G., Lian, X., Chong, D. K. S., Rajalingam, P., Dalan, R. & Mogali, S. R. (2024). Impact of facilitation on cognitive flow in a novel diabetes management rehearsal game for health professions education: mixed methods, open-label, superiority randomized controlled trial. JMIR Serious Games, 12, e54703-. https://dx.doi.org/10.2196/54703 2291-9279 https://hdl.handle.net/10356/180621 10.2196/54703 38900700 2-s2.0-85199916299 12 e54703 en JMIR Serious Games © Jun Wen Tan, Gabriel Tan, Xia Lian, Darren Kai Siang Chong, Preman Rajalingam, Rinkoo Dalan, Sreenivasulu Reddy Mogali. Originally published in JMIR Serious Games (https://games.jmir.org), 17.07.2024. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Serious Games, is properly cited. The complete bibliographic information, a link to the original publication on https://games.jmir.org, as well as this copyright and license information must be included. application/pdf
institution Nanyang Technological University
building NTU Library
continent Asia
country Singapore
Singapore
content_provider NTU Library
collection DR-NTU
language English
topic Medicine, Health and Life Sciences
Diabetes management
Education
spellingShingle Medicine, Health and Life Sciences
Diabetes management
Education
Tan, Jun Wen
Tan, Gabriel
Lian, Xia
Chong, Darren Kai Siang
Rajalingam, Preman
Dalan, Rinkoo
Mogali, Sreenivasulu Reddy
Impact of facilitation on cognitive flow in a novel diabetes management rehearsal game for health professions education: mixed methods, open-label, superiority randomized controlled trial
description Background: Though the prevalence of diabetes is set to increase, most serious game solutions typically target patient self-management and education. Few games target health care professions education, and even fewer consider the factors that may increase their efficacies. The impact of facilitation, a prominent feature of health professions education, is examined in the context of a rehearsal-based diabetes management serious game. Objective: In this mixed methods, open-label, superiority randomized controlled trial, we compare student performance, attitudes, and perceptions of a rehearsal-based diabetes management game for health care professionals. Methods: Student participants were randomized into 2 groups to play a diabetes management game. The control group played the game alone, and the intervention group played the same game alongside a facilitator tasked to moderate overall challenge levels and address queries. Both groups were administered the Flow Short Scale, a 13-item measure rated on a 7-point Likert scale ranging from 1 (“not at all”) to 7 (“very much”) immediately after the game. Students were then invited to voluntary focus group discussions to elicit their attitudes and perceptions of the game. Findings were subject to between-group comparisons and inductive thematic analysis respectively. Results: A total of 48 (26 control, 22 intervention) clinical-year undergraduates from the Lee Kong Chian School of Medicine in Singapore participated in this study, with 18 continuing to the focus group discussions. Flow Short Scale results indicated the superiority of the intervention group for overall flow (t46=–2.17, P=.04) and the absorption subdomain (t46=–2.6, P=.01). Qualitative results indicated students viewed facilitation as helpful and appropriate, and were able to identify improvable elements of the game’s theoretical foundations and overall design. Conclusions: While serious games are efficacious means of rehearsing previously learned knowledge, facilitation allows for their efficiency to be greatly increased. Such increases are likely crucial in the coming years with the increased digitization of health care professions education and the prevalence of diabetes.
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Tan, Jun Wen
Tan, Gabriel
Lian, Xia
Chong, Darren Kai Siang
Rajalingam, Preman
Dalan, Rinkoo
Mogali, Sreenivasulu Reddy
format Article
author Tan, Jun Wen
Tan, Gabriel
Lian, Xia
Chong, Darren Kai Siang
Rajalingam, Preman
Dalan, Rinkoo
Mogali, Sreenivasulu Reddy
author_sort Tan, Jun Wen
title Impact of facilitation on cognitive flow in a novel diabetes management rehearsal game for health professions education: mixed methods, open-label, superiority randomized controlled trial
title_short Impact of facilitation on cognitive flow in a novel diabetes management rehearsal game for health professions education: mixed methods, open-label, superiority randomized controlled trial
title_full Impact of facilitation on cognitive flow in a novel diabetes management rehearsal game for health professions education: mixed methods, open-label, superiority randomized controlled trial
title_fullStr Impact of facilitation on cognitive flow in a novel diabetes management rehearsal game for health professions education: mixed methods, open-label, superiority randomized controlled trial
title_full_unstemmed Impact of facilitation on cognitive flow in a novel diabetes management rehearsal game for health professions education: mixed methods, open-label, superiority randomized controlled trial
title_sort impact of facilitation on cognitive flow in a novel diabetes management rehearsal game for health professions education: mixed methods, open-label, superiority randomized controlled trial
publishDate 2024
url https://hdl.handle.net/10356/180621
_version_ 1814777713472307200